Published online Feb 16, 2017. doi: 10.4253/wjge.v9.i2.99
Peer-review started: October 7, 2016
First decision: November 10, 2016
Revised: December 5, 2016
Accepted: January 2, 2017
Article in press: January 3, 2016
Published online: February 16, 2017
Processing time: 132 Days and 16.8 Hours
Achalasia is generally accepted as a condition associated with an increased risk for developing esophageal squamous cell carcinoma. In our paper, we introduced an achalasia patient combined with synchronous early esophageal neoplasms. We performed a combination of concurrent endoscopic submucosal dissection (ESD) and peroral endoscopic myotomy (POEM). No complications other than postoperative pain that needed morphine treatment for two days had occurred. Dysphagia was significantly improved. Neither reflux nor cough occurred. The short-term efficacy and safety of our case is favorable and suggests that concurrent ESD and POEM could be a treatment option to such patients.
Core tip: Achalasia is generally accepted as a condition associated with an increased risk for esophageal squamous cell carcinoma. However, cases of multiple synchronous neoplastic lesions in an achalasia patient had been rarely reported. In this paper, we performed a combination of concurrent endoscopic submucosal dissection (ESD) and peroral endoscopic myotomy (POEM) on one patient suffering from esophageal achalasia for more than six years and esophageal neoplasia lesions for one month. The short-term efficacy and safety of our case is favorable and it suggests that concurrent ESD and POEM could be an option of treatment to this kind of patients.